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中华脑科疾病与康复杂志(电子版) ›› 2022, Vol. 12 ›› Issue (05) : 315 -318. doi: 10.3877/cma.j.issn.2095-123X.2022.05.012

病例报告

蛛网膜囊肿合并脑内血肿一例报道并文献复习
初晨宇1, 吕学明1, 朱伟杰1, 孙新同1, 李凯1, 徐强2,()   
  1. 1. 250031 济南,解放军第九六〇医院神经外科
    2. 528300 广东佛山,顺德职业技术学院医药卫生学院
  • 收稿日期:2022-03-25 出版日期:2022-10-15
  • 通信作者: 徐强

Intracranial arachnoid cyst accompany with intracerebral hematoma: a case report and literature review

Chenyu Chu1, Xueming Lyu1, Weijie Zhu1   

  • Received:2022-03-25 Published:2022-10-15
引用本文:

初晨宇, 吕学明, 朱伟杰, 孙新同, 李凯, 徐强. 蛛网膜囊肿合并脑内血肿一例报道并文献复习[J]. 中华脑科疾病与康复杂志(电子版), 2022, 12(05): 315-318.

Chenyu Chu, Xueming Lyu, Weijie Zhu. Intracranial arachnoid cyst accompany with intracerebral hematoma: a case report and literature review[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2022, 12(05): 315-318.

颅内蛛网膜囊肿(intracranial arachnoid cyst,IAC)约占所有颅内占位性病变的1%[1]。IAC合并颅内出血是指IAC患者因某些原因出现与IAC部位相关联的颅内出血,临床上较少见,但因IAC的存在而有其特殊性和复杂性[2-3]。引起此类颅内出血的因素不尽相同,出血部位呈现多样化,其中关于IAC合并脑内血肿的报道少有。而且目前对该类颅内出血的研究报道多以某一部位出血为主,缺乏整体认识[4]。从整体上对IAC合并颅内出血进行分型,有利于深化研究、指导治疗。解放军第九六〇医院神经外科收治了1例外伤致额颞部蛛网膜囊肿合并脑内血肿患者,进一步丰富了IAC合并颅内出血的部位类型,结合该病例并复习国内外相关文献,将IAC合并颅内出血进行总结分型,并对其发病机制及治疗方法进行探讨。

图1 蛛网膜囊肿合并脑内血肿患者的影像学资料A~B:术前CT影像;C:IAC术中影像;D~E:术后3个月CT影像;*:左侧额颞部蛛网膜囊肿;T:颞叶;F:额叶;IAC:颅内蛛网膜囊肿
图2 蛛网膜囊肿合并颅内出血分型示意图A:Ⅰ型,单纯IAC内出血;B:Ⅱ型,IAC周围蛛网膜下腔出血;C:Ⅲ型,IAC周围硬膜外血肿;D:Ⅳ型,IAC周围硬膜下血肿;E:Ⅴ型,IAC周围脑内和(或)脑室内血肿;黑色*:IAC内出血;白色*:IAC;▲:血肿;IAC:颅内蛛网膜囊肿
表1 蛛网膜囊肿合并颅内出血的分型
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